Provider Demographics
NPI:1356222640
Name:MAVERICK HEALTH AND WELLNESS
Entity type:Organization
Organization Name:MAVERICK HEALTH AND WELLNESS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:
Authorized Official - Last Name:ALASI
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:201-815-0959
Mailing Address - Street 1:186 ROCHELLE AVE STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCHELLE PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07662-4123
Mailing Address - Country:US
Mailing Address - Phone:973-803-8922
Mailing Address - Fax:973-804-6013
Practice Address - Street 1:186 ROCHELLE AVE STE 1
Practice Address - Street 2:
Practice Address - City:ROCHELLE PARK
Practice Address - State:NJ
Practice Address - Zip Code:07662-4123
Practice Address - Country:US
Practice Address - Phone:973-803-8922
Practice Address - Fax:973-804-6013
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-11
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty